Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $8,912.51	Facility		$3,715.35	$5,495.41	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $3,715.35	Professional		$2,187.76	$3,090.30	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $4,786.30	Professional		$1,513.56	$1,819.70	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $41,686.94 / $77,624.71	Facility		$3,388.44	$41,686.94	$77,624.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $57,543.99 / $102,329.30	Professional		$4,570.88	$57,543.99	$102,329.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $7,762.47	Facility		$2,398.83	$2,398.83	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,677.35	Professional		$4,265.80	$4,265.80	$4,677.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $7,762.47	Facility		$2,818.38	$3,801.89	$7,762.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $7,244.36	Professional		$2,754.23	$3,890.45	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $3,715.35	Facility		$1,318.26	$3,311.31	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,265.80	Professional		$1,548.82	$2,187.76	$4,265.80